Organization
ALMA FIRST FELLOWS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YIMDRIUSKA MAGAN MD, MPH (CO-FOUNDER)
(707) 694-9057
Entity
Organization
Contact information
Practice address
45 PEARCE ST, PETALUMA, CA 94952-4018
(707) 694-9057
Mailing address
45 PEARCE ST, PETALUMA, CA 94952-4018
(707) 694-9057
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
11/14/2024
Last updated
11/19/2024
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